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Year 2- Obstetric Emergencies > Eclampsia > Flashcards

Eclampsia Flashcards

1
Q

Define pre eclampsia

A

New hypertension presenting after 20 weeks with sig proteinuria.

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2
Q

Difference between pre eclampsia and eclampsia

A

Eclampsia is 1+ seizures plus pre-eclampsia s&s

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3
Q

What clinical and biochemical symptoms present for pre eclampsia?

A

BP > 140/90 on 2 occasions at least 4 hrs apart.
PCR > 30 mg/mol

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4
Q

Recurrence rate of eclamptic seizures

A

5-30% even with treatment

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5
Q

Rank the most common incidences of eclampsia: antepartum, intrapartum, postpartum

A

Most common first
Postpartum
Antepartum
Intrapartum

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6
Q

What should be done before commencing treatment to control seizures?

A

Check reflexes

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7
Q

What is the MgSO4 loading dose?

A

4g slow IV bolus over 5-10 mins

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8
Q

What is the MgSO4 maintenance dose?

A

1g/hr for 24hrs

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9
Q

What are the side effects of MgSO4?

A

Flushing- very hot, red
Tingly feeling
Shallow breathing

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10
Q

Nifedipine dose & contraindication

A

Oral
10mg
Can rpt in 40 mins if BP still > 160/100

Contraindication: T1 diabetes

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11
Q

Labetalol (oral) dose & contraindication

A

200mg TDS

Contraindication: Asthma

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12
Q

When is Labetalol (IV) given?

A

When BP still > 160/100
Patient is drowsy

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13
Q

When is Hydralazine (IV) given?

A

When nifedipine PO and labetalol IV contraindicated

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14
Q

Total fluid input must not exceed…

A

80mls/hr or 1ml/kg/hr

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15
Q

How often should urometer be monitored?

A

Hourly
Colour, protein, volume

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16
Q

What can increased RR be a sign of?

A

Pulmonary oedema

17
Q

What can decreases RR be a sign of?

A

Magnesium toxicity

18
Q

What does a brisk reflex indicate?

A

Potential imminent seizure

19
Q

If recurrent seizures how much MgSO4 can be given?

A

2g bolus
2ml/min IV over 5 mins
Do not rpt!

20
Q

What is the therapeutic range for MgSO4?

A

2-3.5 mmol/litre

Year 2- Obstetric Emergencies (7 decks)

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